Project Entry Form - ASHRAE Central Arizona

ASHRAE Central Arizona Chapter – P.O. Box 45104, Phoenix, AZ 85064-2061
ASHRAE CENTRAL ARIZONA CHAPTER:
PROJECT AWARD ENTRY
1.
Best Design Category (Check one and indicate New or Existing, if applicable):
Commercial Buildings
Institutional Buildings:
☐ Educational Facilities
☐ Other Institutional
Health Care Facilities
Industrial Facilities or Processes
Public Assembly
Residential (Single and Multi-Family)
☐
☐
☐
☐
☐
☐
2.
☐
New or ☐ Existing
☐
☐
☐
☐
☐
☐
New
New
New
New
New
New
or
or
or
or
or
or
☐
☐
☐
☐
☐
☐
Existing
Existing
Existing
Existing
Existing
Existing
Project Criteria: The project in question must be a completed building, designed by or under the
review of an engineer licensed within the State of Arizona. Strong preference will be given to projects
built in Arizona, with HVAC and/or plumbing designed and/or installed by a company or companies
with an office (or offices) located in Arizona.
There is no minimum time that the building has to have been occupied, but it must have at least a
Certificate of Occupancy by the entry date. Strong preference will be given to projects completed
within the 2014 calendar year, but this is not a requirement.
If the project is a study, said study needs to have been performed by an engineer licensed within the
State of Arizona.
3.
Name of Building or Project:
City/State:
4.
Project Description:
Project Study/Design Period:
Percent Occupancy at time of submission:
5.
Entrant (ASHRAE member with significant role in project):
a.
Name:
Last
Membership Number:
First
Middle
ASHRAE Central Arizona Chapter – P.O. Box 45104, Phoenix, AZ 85064-2061
b. Address (including country):
City
c.
Telephone: (O)
State
Zip
Country
d. Email:
e. Entrant’s Role in Project:
f.
Member’s Role in Project:
g. Member’s Signature:
6.
Engineer of Record (Design Award):
By affixing my signature above, I certify that the information contained in this application is accurate to the best of my knowledge. In addition,
I certify that I have discussed this entry with the owner and have received permission from the owner to submit this project to the ASHRAE
Technology Awards Competition.
7.
Description:
In the space below, please describe the project being nominated for the award specified. Attach any drawings, pictures, or other documents,
as needed. Please be as descriptive as possible in order to provide the judging committee with enough information to evaluate the project in
question.